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Individual
MRS. NICOLE LEIGH DERRICO
Active
Individual
MRS. NICOLE LEIGH DERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
078863-1
NY
1041C0700X
Clinical Social Worker
Primary
17204
SC
1041C0700X
Clinical Social Worker
C010147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078863-1
LMSW
NY
01
—
C010147
LCSW
NC
Enumeration date
05/31/2012
Last updated
12/19/2025
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